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Individual

RAVI K SHASTRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-2412
Mailing address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-2412

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
4301103078
MI
2085N0700X
Neuroradiology Physician
S4235
TX
2085R0202X
Diagnostic Radiology Physician
4301103078
MI
2085R0202X
Diagnostic Radiology Physician
Primary
S4235
TX
208600000X
Surgery Physician
R70528
AZ

Other

Enumeration date
08/10/2008
Last updated
11/07/2024
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